Combinations of jak inhibitors

Abstract

The invention provides a pharmaceutical combination comprising: a) at least one agent selected from Bcr-Abl, Flt-3, FAK and RAF kinase inhibitors; and b) at least one JAK kinase inhibitor and a method for treating or preventing a proliferative disease using such a combination.

1 . A pharmaceutical combination comprising:
 a) at least one agent selected from Bcr-Abl, Flt-3, FAK and RAF kinase inhibitors; and   b) at least one subtype-selective or subtype unselective JAK kinase inhibitor.   
     
     
         2 . A method for treating or preventing a proliferative disease in a subject in need thereof, comprising co-administration to said subject, e.g., concomitantly or in sequence, of a therapeutically effective amount of at least one agent selected from Bcr-Abl, Flt-3, FAK and RAF kinase inhibitors and at least one JAK3 kinase inhibitor. 
     
     
         3 . A pharmaceutical combination according to  claim 1 , for use in a method according to  claim 2 . 
     
     
         4 . A pharmaceutical combination according to  claim 1 , for use in the preparation of a medicament for use in a method according to  claim 2 . 
     
     
         5 . A pharmaceutical combination according to  claim 1 , wherein agent a) is selected from:
 N-{5-[4-(4-methyl-piperazino-methyl)-benzoylamido]-2-methyl-phenyl}-4-(3-pyridyl)-2-pyrimidine-amine;   4-methyl-3-[[4-(3-pyridinyl)-2-pyrimidinyl]amino]-[5-(4-methyl-1H-imidazol-1-yl)-3-(trifluoromethyl)phenyl]benzamide;   N-[(9S,10R,11R,13R)-2,3,10,11,12,13-hexahydro-10-methoxy-9-methyl-1-oxo-9,13-epoxy-1H,9H-diindolo[1,2,3-gh:3′,2′,1′-lm]pyrrolo[3,4-j][1,7]benzodiazonin-11-yl]-N-methylbenzamide;   1-[4-(4-ethyl-piperazinyl-1-ylmethyl)-3-trifluoromethyl-phenyl]-3-[4-(6-methylamino-pyrimidin-4-yloxy-phenyl]-urea;   1-[4-(2-amino-pyrimidin-4-yloxy)-phenyl]-3-[4-(4-ethyl-piperazin-1-ylmethyl)-3-trifluoromethyl-phenyl]-urea;   1-[4-(2-amino-pyrimidin-4-yloxy)-phenyl]-3-[4-(4-methyl-piperazin-1-ylmethyl)-3-trifluoromethyl-phenyl]-urea;   (4-tert-butyl-phenyl)-(4-pyridin-4-ylmethyl-isoquinolin-1-yl)-amine;   [4,7′]biisoquinolinyl-1-yl-4-(tert-butyl-phenyl)-amine;   (4-tert-butyl-phenyl)-(4-quinazolin-6-yl-isoquinolin-1-yl)-amine;   [4,7′]biisoquinolinyl-1-yl-(2-tert-butyl-pyrimidin-5-yl)-amine;   2-[5-chloro-2-(2-methoxy-4-morpholin-4-yl-phenylamino)-pyrimidin-4-ylamino]-N-methyl-benzamide; and   N3-[4-(4-morpholin-4-yl-cyclohexyl)-phenyl]-1-pyridin-2-yl-1H-[1,2,4]triazole-3,5-diamine;   
       and combinations thereof. 
     
     
         6 . A pharmaceutical combination according to  claim 1 , wherein agent b) is selected from:
 N-benzyl-3,4-dihydroxy-benzylidene-cyanoacetamide α-cyano-(3,4-dihydroxy)-]N-benzylcinnamamide (Tyrphostin AG 490); prodigiosin 25-C (PNU156804);   [4-(4′-hydroxyphenyl)-amino-6,7-dimethoxyquinazoline] (WHI-P131);   [4-(3′-bromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline] (WHI-P154);   [4-(3′,5′-dibromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline] WHI-P97; and   3-{(3R,4R)-4-methyl-3-[methyl-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-amino]-piperidin-1-yl}-3-oxo-propionitrile,   
       in free form or in salt form, e.g., mono-citrate (also called CP-690,550); and combinations thereof. 
     
     
         7 . A method according to  claim 2 , wherein agent a) is selected from:
 N-{5-[4-(4-methyl-piperazino-methyl)-benzoylamido]-2-methyl-phenyl}-4-(3-pyridyl)-2-pyrimidine-amine;   4-methyl-3-[[4-(3-pyridinyl)-2-pyrimidinyl]amino]-N-[5-(4-methyl-1H-imidazol-1-yl)-3-(trifluoromethyl)phenyl]benzamide;   N-[(9S,10R,11R,13R)-2,3,10,11,12,13-hexahydro-10-methoxy-9-methyl-1-oxo-9,13-epoxy-1H,9H-diindolo[1,2,3-gh:3′,2′,1′-lm]pyrrolo[3,4-j][1,7]benzodiazonin-11-yl]-N-methylbenzamide;   1-[4-(4-ethyl-piperazinyl-1-ylmethyl)-3-trifluoromethyl-phenyl]-3-[4-(6-methylamino-pyrimidin-4-yloxy-phenyl]-urea;   1-[4-(2-amino-pyrimidin-4-yloxy)-phenyl]-3-[4-(4-ethyl-piperazin-1-ylmethyl)-3-trifluoromethyl-phenyl]-urea;   1-[4-(2-amino-pyrimidin-4-yloxy)-phenyl]-3-[4-(4-methyl-piperazin-1-ylmethyl)-3-trifluoromethyl-phenyl]-urea;   (4-tert-butyl-phenyl)-(4-pyridin-4-ylmethyl-isoquinolin-1-yl)-amine;   [4,7′]biisoquinolinyl-1-yl-4-(tert-butyl-phenyl)-amine;   (4-tert-butyl-phenyl)-(4-quinazolin-6-yl-isoquinolin-1-yl)-amine; and   [4,7′]biisoquinolinyl-1-yl-(2-tert-butyl-pyrimidin-5-yl)-amine;   2-[5-chloro-2-(2-methoxy-4-morpholin-4-yl-phenylamino)-pyrimidin-4-ylamino]-N-methyl-benzamide; and   N3-[4-(4-morpholin-4-yl-cyclohexyl)-phenyl]-1-pyridin-2-yl-1H-[1,2,4]triazole-3,5-diamine;   
       and combinations thereof. 
     
     
         8 . A method according to  claim 2 , wherein agent b) is selected from:
 N-benzyl-3,4-dihydroxy-benzylidene-cyanoacetamide α-cyano-(3,4-dihydroxy)-]N-benzylcinnamamide (Tyrphostin AG 490); prodigiosin 25-C (PNU156804);   [4-(4′-hydroxyphenyl)-amino-6,7-dimethoxyquinazoline] (WHI-P131);   [4-(3′-bromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline] (WHI-P154);   [4-(3′,5′-dibromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline] WHI-P97;   3-{(3R,4R)-4-methyl-3-[methyl-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-amino]-piperidin-1-yl}-3-oxo-propionitrile,   
       in free form or in salt form, e.g., mono-citrate (also called CP-690,550); and combinations thereof. 
     
     
         9 . A method for myeloma comprising administering a combination of a RAF inhibitor and a JAK kinase inhibitor wherein the RAF inhibitor is selected from:
 (4-tert-butyl-phenyl)-(4-pyridin-4-ylmethyl-isoquinolin-1-yl)-amine;   [4,7′]biisoquinolinyl-1-yl-4-(tert-butyl-phenyl)-amine;   (4-tert-butyl-phenyl)-(4-quinazolin-6-yl-isoquinolin-1-yl)-amine;   [4,7′]biisoquinolinyl-1-yl-(2-tert-butyl-pyrimidin-5-yl)-amine;   
       and combinations thereof, and the JAK kinase inhibitor is selected from:
 N-benzyl-3,4-dihydroxy-benzylidene-cyanoacetamide α-cyano-(3,4-dihydroxy)-]N-benzylcinnamamide (Tyrphostin AG 490); prodigiosin 25-C (PNU156804); 
 [4-(4′-hydroxyphenyl)-amino-6,7-dimethoxyquinazoline] (WHI-P131); 
 [4-(3′-bromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline] (WHI-P154); 
 [4-(3′,5′-dibromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline] WHI-P97; 
 3-{(3R,4R)-4-methyl-3-[methyl-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-amino]-piperidin-1-yl}-3-oxo-propionitrile, 
 
       in free form or in salt form, e.g., mono-citrate (also called CP-690,550); and combinations thereof.